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Arthritis Rheumatol 67:21412153

J Pers Med

Lactic acid is produced from pyruvate by lactate dehydrogenase when additional energy production is needed

Urgent care prescribed prednisone and benadryl, and the hives seem to have peaked around day 10 and are slightly better today (day 11)

After 2 months of therapy she is feeling better and nightly episodes of reflux are diminished, but her physician calls to tell her that the drug is being recalled because of a problem with cardiac arrhythmia, and a new drug will be prescribed

the B-Complex Injection can help mitigate drug-induced B deficiency, but the clinician should be mindful to coordinate its use so that adequate B is maintained without causing excessive levels